Goals - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Goals	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets high expectations and goals; encourages others to support the organization.
Makes sure that I have a clear idea of our group's goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
Makes sure that team members have a clear idea of our group's goals.
Understands & contributes to development of strategic goals.
Trustworthy	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Consistently keeps commitments.
Builds and maintains the trust of others.
Delivers on promises made.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Communicates an understanding of the other person's interests, needs and concerns.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is aware of the location/availability of resources within the network.
Establishes appropriate monitoring of activities in the network.
Proactively addresses potential conflicts by identifying and resolving problems swiftly.
Searches for a common solution to shared problems or issues.
Promotes teamwork across departments, encouraging information exchange, and setting common goals.
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands complex issues and problems.
Understands the dynamics of our industry.
Establishes clear, long-term objectives that align with the company's vision and mission.
Incorporates innovative approaches and being adaptable to change.
Develops business plans that are forward looking.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Maintains a high level of energy to respond to demands of the job.
Is comfortable operating in an environment of uncertainty.
Takes the initiative to complete tasks.
Encourages risk taking for developing potential business opportunities.
Can work effectively in an environment of uncertainty.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Directs team efforts towards key elements of the vision.
Delegates the task of implementing the vision to subordinates.
Focuses subordinates' work on critical aspects of the vision.
Establishes a clear vision for where the company should be heading.
Provides the vision needed to help the organization remain competitive and adaptable in a dynamic market.

31. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
32. Strengths
    
    
    
33. Areas for Development
    
    
    
34. Please give any final comments or suggestions for [Participant Name Here]'s assessment.